Individual
HANISH JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(607) 770-3307
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(607) 770-3307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1013225
MA
207RI0200X
Infectious Disease Physician
1013225
MA
Other
Enumeration date
07/17/2018
Last updated
08/18/2025
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